New Hampshire Senate Bill 252 expands telehealth access for incarcerated individuals' medication

The New Hampshire House Health, Human Services and Elderly Affairs Committee convened on April 23, 2025, to discuss Senate Bill 252, which aims to expand telemedicine services for individuals, particularly those transitioning from incarceration. The bill seeks to address significant gaps in healthcare access for vulnerable populations, including those with substance use disorders and serious mental illnesses.

A key focus of the meeting was the need for a structured mechanism to ensure continuity of care for individuals post-incarceration. Representatives discussed the challenges faced by those who leave correctional facilities, particularly regarding access to necessary medications and follow-up care. The bill proposes allowing telemedicine consultations to establish patient-provider relationships, which could facilitate ongoing treatment without the immediate need for in-person visits.

Concerns were raised about regulatory compliance and the potential for the bill to create issues with existing healthcare standards. However, Jonathan Ballard, Chief Medical Officer at the New Hampshire Department of Health and Human Services, clarified that the proposed changes would align state regulations with federal standards, which currently do not require in-person evaluations for prescribing controlled medications.

The committee also highlighted the importance of addressing the broader issue of primary care access in New Hampshire, particularly in rural areas where healthcare providers are scarce. The bill is seen as a potential solution to improve healthcare delivery by leveraging telehealth services, which could reduce reliance on emergency departments for care shortly after release from incarceration.

In conclusion, Senate Bill 252 represents a significant step towards improving healthcare access for individuals with complex medical needs, particularly those reentering society after incarceration. The committee's discussions underscored the urgency of addressing these healthcare gaps to support successful reintegration and reduce the risk of relapse and recidivism. Further deliberations will continue as the bill progresses through the legislative process.